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General NPI Number Information
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NPI Number | 1396605234
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Entity Type | Organization
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Legal Business Name | SENSORY SYNERGY
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 2450 DELHI COMMERCE DR STE 5
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City | HOLT
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State | MI
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Zip | 48842-2193
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Country | US
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Telephone | 517-648-5528
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Fax |
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Provider Business Mailing Address
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Address Line | 5041 WILLOUGHBY RD APT 1
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City | HOLT
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State | MI
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Zip | 48842-1009
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | ELISE EVANS
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Credential | OTRL
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Telephone | 517-648-5528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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